Pre Auth Specialist

Accessibility Note: Surgery Partners is committed to complying with all applicable provisions of the Americans with Disabilities Act, as amended (“ADA”), and applicable state and local laws. It is the Company’s policy not to discriminate against any qualified people or applicant with regard to any terms or conditions of employment on the basis of such individual’s disability. Consistent with this policy of non-discrimination, the Company will provide reasonable accommodations to an individual with a disability, as defined in the ADA or applicable law, who has made the Company aware of his/her disability, unless doing so would cause an undue hardship to the Company. If you are an applicant and need a reasonable accommodation when applying for job opportunities within the Company or request a reasonable accommodation to utilize the Company’s online employment application, please contact JOB SUMMARY Responsible for obtaining managed care authorizations and verifying patient insurance benefits. Analyzing utilization data from health plans' claims as required. Maintains optimal patient, referring physician and insurance company satisfaction. DUTIES AND RESPONSIBILITIES Obtaining required referrals and authorizations prior to services via phone, fax, on-line, etc. Review office schedules daily for patients requiring authorizations, referrals, pre-notification, and insurance eligibility verification. Obtaining retro-authorizations or updating existing authorizations in a timely mann